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1306430566
JACOB MICHAEL LEWIS
SANTA ROSA, CA
NPI
1306430566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-02-26
Last Update Date
2021-02-26
Business Address
JACOB MICHAEL LEWIS
634 PRESSLEY ST
SANTA ROSA, CA 95404-5526
Phone number: 707-573-6955
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Mailing Address
JACOB MICHAEL LEWIS
634 PRESSLEY ST
SANTA ROSA, CA 95404-5526
Phone number: 707-573-6955
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